Sandbox subdural empyema: Difference between revisions
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==Antimicrobial Regimen – Empiric Therapy== | ==Antimicrobial Regimen – Empiric Therapy== | ||
{{rx|Infants < 1 month}} | {{rx|Infants < 1 month}} | ||
* Ampicillin 200 mg/kg/day IV q4h {{and}} | * [[Ampicillin]] 200 mg/kg/day IV q4h {{and}} | ||
* Cefotaxime 200 mg/kg/day IV q6h | * [[Cefotaxime]] 200 mg/kg/day IV q6h | ||
</li> | </li> | ||
{{rx|Infants 1–3 months}} | {{rx|Infants 1–3 months}} | ||
* Ampicillin 200 mg/kg/day IV q4h {{and}} | * [[Ampicillin]] 200 mg/kg/day IV q4h {{and}} | ||
* Cefotaxime 200 mg/kg/day IV q6h {{or}} Ceftriaxone 100 mg/kg/day IV q12h | * [[Cefotaxime]] 200 mg/kg/day IV q6h {{or}} [[Ceftriaxone]] 100 mg/kg/day IV q12h | ||
</li> | </li> | ||
{{rx|Infants | {{rx|Infants > 3 months or adults < 55 years}} | ||
* | * [[Vancomycin]] 60 mg/kg/day IV q6h (pediatric) or 2 g/day IV q12h (adult) {{and}} | ||
* Cefotaxime 200 mg/kg/day IV | * [[Cefotaxime]] 200 mg/kg/day IV q6h (pediatric) or 12 g/day IV q4h (adult) {{or}} [[Ceftriaxone]] 100 mg/kg/day IV q12h (pediatric) or 4 g/day IV q12h (adult) {{or}} [[Cefepime]] 150 mg/kg/day IV q8h (pediatric) or 6 g/day IV q8h (adult) | ||
</li> | </li> | ||
{{rx|Adults ≥ 55 years, alcoholics, or with debilitating illness}} | {{rx|Adults ≥ 55 years, alcoholics, or with debilitating illness}} | ||
* Ampicillin 200 mg/kg/day IV | * [[Ampicillin]] 200 mg/kg/day IV q4h {{and}} | ||
* Cefotaxime | * [[Vancomycin]] 2 g/day IV q12h {{and}} | ||
* [[Cefotaxime]] 12 g/day IV q4h {{or}} [[Ceftriaxone]] 4 g/day IV q12h {{or}} [[Cefepime]] 6 g/day IV q8h | |||
</li> | </li> | ||
{{rx|Impaired cell-mediated immunity or hospital-acquired, post-neurosurgery, or post-traumatic meningitis}} | {{rx|Impaired cell-mediated immunity or hospital-acquired, post-neurosurgery, or post-traumatic meningitis}} | ||
* Ampicillin 200 mg/kg/day IV | * [[Ampicillin]] 200 mg/kg/day IV q4h (pediatric) or 12 g/day IV q4h (adult) {{and}} | ||
* | * [[Vancomycin]] 60 mg/kg/day IV q6h (pediatric) or 2 g/day IV q12h (adult) {{and}} | ||
* [[Ceftazidime]] 150 mg/kg/day IV q8h (pediatric) or 6 g/day IV q8h (adult) {{or}} [[Meropenem]] 20 mg/kg/day IV q8h (pediatric) or 3 g/day IV q8h (adult) | |||
</li> | </li> | ||
Latest revision as of 17:49, 27 April 2015
Antimicrobial Regimen – Empiric Therapy
- Ampicillin 200 mg/kg/day IV q4h AND
- Cefotaxime 200 mg/kg/day IV q6h
- Ampicillin 200 mg/kg/day IV q4h AND
- Cefotaxime 200 mg/kg/day IV q6h OR Ceftriaxone 100 mg/kg/day IV q12h
- Vancomycin 60 mg/kg/day IV q6h (pediatric) or 2 g/day IV q12h (adult) AND
- Cefotaxime 200 mg/kg/day IV q6h (pediatric) or 12 g/day IV q4h (adult) OR Ceftriaxone 100 mg/kg/day IV q12h (pediatric) or 4 g/day IV q12h (adult) OR Cefepime 150 mg/kg/day IV q8h (pediatric) or 6 g/day IV q8h (adult)
- Ampicillin 200 mg/kg/day IV q4h AND
- Vancomycin 2 g/day IV q12h AND
- Cefotaxime 12 g/day IV q4h OR Ceftriaxone 4 g/day IV q12h OR Cefepime 6 g/day IV q8h
- Ampicillin 200 mg/kg/day IV q4h (pediatric) or 12 g/day IV q4h (adult) AND
- Vancomycin 60 mg/kg/day IV q6h (pediatric) or 2 g/day IV q12h (adult) AND
- Ceftazidime 150 mg/kg/day IV q8h (pediatric) or 6 g/day IV q8h (adult) OR Meropenem 20 mg/kg/day IV q8h (pediatric) or 3 g/day IV q8h (adult)